ABSTRACT
The COVID-19 pandemic has magnified systemic vulnerabilities and made the global and Canadian newcomer experience even more fragile. In 2022, the Kitchener, Waterloo, Wellesley, Wilmot and Woolwich (KW4) Ontario Health Team launched a journey-mapping initiative with the aim to better understand newcomers' lived experiences with regard to their health and wellness within the first two years of their arrival in the region. We interviewed 17 newcomers from 11 different countries. The outcomes of this project are helping to inform a people-centred integrated health system approach toward service redesign and the creation of technological solutions to improve newcomers' abilities to self-navigate local services toward more equitable population health outcomes.
Subject(s)
COVID-19 , Pandemics , Humans , Ontario/epidemiology , COVID-19/epidemiologyABSTRACT
The East Toronto Health Partners (ETHP) include more than 50 organizations working collaboratively to create an integrated system of care in the east end of Toronto. This existing partnership proved invaluable as a platform for a rapid, coordinated local response to the COVID-19 pandemic. Months after the first wave of the pandemic began, with the daily numbers of COVID-19 cases finally starting to decline, leaders from ETHP provided preliminary reflections on two critical questions: (1) How were existing integration efforts leveraged to mobilize a response during the COVID-19 crisis? and (2) How can the response to the initial wave of COVID-19 be leveraged to further accelerate integration and better address subsequent waves and system improvements once the pandemic abates?
Subject(s)
COVID-19/therapy , Community Participation , Delivery of Health Care, Integrated/organization & administration , Delivery of Health Care/organization & administration , Health Policy , COVID-19/epidemiology , COVID-19/mortality , Community Participation/methods , Decision Making, Organizational , Delivery of Health Care/methods , Delivery of Health Care, Integrated/methods , Global Health , Humans , Ontario , Organizational Innovation , Primary Health Care/organization & administration , Public Health Administration/methods , Resource Allocation/methods , Resource Allocation/organization & administrationABSTRACT
BACKGROUND: This paper presents the findings of a rapid needs assessment conducted at the request of the local health authority responsible for health care services, the Toronto Central Local Health Integration Network (Ontario, Canada), to inform health and social service planning. METHODS: We utilized concept mapping methodology to facilitate engagement with diverse stakeholders-more than 300 community members and service providers-with a focus on hard to reach populations. Key informant interviews with service providers were used to augment findings. RESULTS: Participants identified 48 unique services or service approaches they believed would improve the health of residents in the area, including those addressing health care, mental health and addictions, youth, families, people experiencing homelessness, seniors, general social services, and services targeting specific populations. While service providers consistently identified a critical need for mental health and addiction services, community members placed greater importance on the social determinants of health including access to housing, job placement supports and training and service accessibility. Both groups agreed that services and programs for seniors and people experiencing homelessness would be highly important. CONCLUSION: Our study provides a unique example of using concept mapping as a tool to aid a rapid service gap analysis and community engagement in a metropolitan area. The findings also reinforce the importance of working cross-sectorally, using a Health in All Policies approach when planning services for underserved populations.
